Gilbertus Anglicus - Medicine of the Thirteenth Century by Henry Ebenezer Handerson
page 78 of 105 (74%)
page 78 of 105 (74%)
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moistened with the white of egg (_pecia panni in albumine ovi
infusa_), and, as a rule, the primary dressing should not be changed for two days in summer, and for three days in the winter. In moist wounds _vitreolum_ reduces the flesh; in dry wounds it repairs and consolidates. _Flos aeris_, in dry wounds, reduces but does not consolidate, but rather corrodes the tissues. Excessive suppuration is sometimes the result of too stimulating applications, sometimes of those which are too weak. In the former case the wound enlarges, assumes a concave form, is red, hot, hard and painful, and the pus is thin and watery (_subtilis_). If the application is too weak, the pus is thick and viscous, and the other signs mentioned are wanting. In either case the dressings are to be reversed. If any dyscrasia, such as excessive heat, coldness, dryness or moisture appears in the wound and delays its healing, it is to be met by its contrary. If fistula or cancer develops, this complication is to be first cured and then the primary wound. The signs of a hot dyscrasia are heat, burning and pain in the wound; of a cold dyscrasia, lividity of the wound; the moist dyscrasia occasions flabbiness (_mollicies_) and profuse suppuration, and the dry produces dryness and induration. Wounds of the head (f. 84 c) occur with or without fracture of the cranium, but always require careful examination and exact diagnosis. The wound is to be carefully explored with the finger, and, if necessary, should be enlarged for this purpose. Large, but simple, wounds of the scalp should be stitched with silk in three or four places, leaving the most dependent angle open for escape of the discharges, and in this opening should be inserted a tent (_tuellus_), to facilitate drainage. The wound is then sprinkled with the _pulvis rubeus_ and covered with a plantain or other leaf. On the ninth to the eleventh day, if the wound seems practically healed, the stitches are |
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